NPI 1114285566

Sierra Gastroenterology, PLLC.

Organisation Internal Medicine Physician Sierra Vista, AZ

Practice location

Address: 4990 E Mediterranean Dr Suite a, Sierra Vista, AZ 85635-2494
Phone: (520) 458-5890
Fax: (520) 458-4439

Authorised official

Name: Vijaya D Boyella
Title: President
Phone: (520) 458-5890

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Arizona →

Registry record

NPI: 1114285566
Entity type: Organization
NPI issued: 23 Apr 2012
Record last updated: 23 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.